Sr. Decision Support Analyst - Finance

The Senior Decision Support Analyst serves as a key member of the Finance and Decision Support team, providing advanced financial, operational, and clinical analytics to support strategic, operational, and financial decision-making across McLeod Health. This position maintains and enhances decision support systems, performs complex analyses, supports cost accounting processes, develops dashboards and reports, identifies improvement opportunities, and serves as a subject matter expert for healthcare data analytics. The role collaborates with Finance Business Partners, operational leaders, clinical departments, reimbursement, revenue cycle, and information systems to improve organizational performance and support McLeod Health’s mission. The Senior Decision Support Analyst also provides mentorship and technical guidance to analysts and other team members. 

Maintain and enhance decision support and cost accounting systems, methodologies, allocations, and reporting structures. 

Collect, validate, reconcile, and analyze clinical, financial, and operational data from multiple source systems. 

Develop cost models, service line profitability analyses, physician profitability analyses, and contribution margin reporting. 

Identify data integrity issues and coordinate with Information Services, Finance, Revenue Cycle, and operational stakeholders to resolve discrepancies. 

Support data requests related to Medicare and Medicaid cost reports, DSH surveys, reimbursement analyses, and regulatory reporting. 

Provide information needed to support complex financial models, forecasts, business cases, return-on-investment analyses, feasibility studies, and pro formas. 

Analyze service line performance, departmental operations, physician practices, strategic initiatives, and capital investments. 

Identify trends, variances, risks, and performance improvement opportunities and translate findings into actionable recommendations. 

Provide analytical support to operational leaders and Finance Business Partners for data-driven decision-making. 

Assist with annual budgeting, forecasting, long-range planning, and strategic planning initiatives. 

Design, develop, and maintain executive dashboards, management reports, and automated reporting solutions. 

Create monthly, quarterly, annual, and ad hoc financial and operational performance reports. 

Develop reports using ERP, EMR, decision support, cost accounting, and business intelligence tools. 

Ensure reporting definitions, data sources, calculations, and methodologies are consistently documented and applied. 

Present complex analyses in a clear and concise format appropriate for senior leaders, committees, and operational stakeholders. 

Lead decision support projects from requirements gathering and design through implementation, validation, and ongoing support. 

Coordinate system upgrades, data conversion and validation activities, report enhancements, and process improvement initiatives. 

Serve as a liaison among Finance, Information Services, Revenue Cycle, Reimbursement, Clinical Operations, and administrative leadership. 

Recommend improvements to analytical processes, reporting practices, controls, and operational workflows. 

Manage multiple priorities and deliver accurate work within established deadlines. 

Provide technical guidance, peer review, and mentorship to analysts and other team members. 

Assist with training, onboarding, documentation, and development of standardized analytical practices. 

Serve as a subject matter expert for healthcare decision support, cost accounting, and financial analytics. 

Maintain a professional image and demonstrate excellent working relationships consistent with McLeod Health’s Service Excellence Standards and Core Values. 

Perform other duties as assigned to support the needs of McLeod Health and the Finance team. 

Required Qualifications/Education:

• Bachelor’s degree in Finance, Accounting, Healthcare Administration, Business Analytics, Information Systems, or a related field. 
• Five or more years of progressively responsible experience in healthcare finance, decision support, reimbursement, cost accounting, business intelligence, or a related analytical field. 
• Advanced proficiency in Microsoft Excel and experience working with healthcare financial, clinical, or operational data. 

Preferred Qualifications/Education:

• Master’s degree in Business Administration, Healthcare Administration, Finance, Accounting, Analytics, or a related field. 
• Experience with Strata, Epic, Oracle, SQL, Power BI, Tableau, or comparable healthcare analytics platforms. 
• Knowledge of hospital reimbursement, Medicare cost reporting, service line analytics, productivity reporting, and cost accounting methodologies.